Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 102463-01 | NY |
NPI | 1003466889 |
---|---|
Provider Name | Michaela Turnbull |
First Address | Astoria, NY 11103-3632 |
Second Address | New York, NY 10019-1428 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2019 |
Last Update Date | 13/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102463-01 | LIMITED PERMIT - ISSUED BY NY OFFICE OF THE PROFESSIONS (01) | NY |